Endoscopic Dacryocystorhinostomy (DCR)
Endoscopic Dacryocystorhinostomy (DCR) is a minimally invasive procedure to create a new drainage pathway between the lacrimal sac and the nasal cavity, bypassing an obstructed nasolacrimal duct. Performed through the nose using an endoscope, this technique relieves persistent tearing (epiphora), recurrent infections, and related discomfort while avoiding external facial scars.
What is Endoscopic DCR?
Endoscopic DCR uses a nasal endoscope to access the lacrimal sac from inside the nasal cavity and create a direct opening (anastomosis) so tears can drain normally into the nose. The procedure avoids external incisions, offers excellent visualization, and allows the ENT and oculoplastic surgeon to address intranasal pathology simultaneously.
When is Endoscopic DCR Recommended?
1. Nasolacrimal Duct Obstruction
Congenital or acquired blockage causing persistent tearing.
2. Recurrent Lacrimal Sac Infections (Dacryocystitis)
Repeated infections despite medical treatment.
3. Post-Traumatic or Iatrogenic Obstruction
Obstruction due to injury or prior nasal/facial surgery.
4. Functional Epiphora
Tearing due to poor drainage despite patent ducts — may be evaluated and treated during surgery.
Symptoms That Suggest a Blocked Tear Duct
Diagnosis & Pre-operative Evaluation
A careful assessment determines the site and cause of obstruction and helps plan surgery.
How Endoscopic DCR Is Performed
The procedure is typically performed under general or local anaesthesia with sedation and includes the following steps:
Endoscopic DCR avoids external scars and allows simultaneous treatment of intranasal disease, with comparable success rates to external DCR in many hands.
Benefits, Recovery & Aftercare
Benefits
Recovery & Aftercare
Possible Complications
Overall success rates are high, and careful follow-up with nasal endoscopy and stent management reduces the chance of failure.
Why Choose Dr. Shrekha Padmakshan for Endoscopic DCR?
Dr. Shrekha Padmakshan offers multidisciplinary expertise in lacrimal and nasal surgery, combining otolaryngology and oculoplastic principles to deliver optimal results.
If you have persistent tearing, recurrent lacrimal infections, or symptomatic tear duct blockage, book a consultation to evaluate whether Endoscopic DCR is the right solution for you. Early assessment and proper follow-up ensure the best outcomes.